Documente Academic
Documente Profesional
Documente Cultură
School Psychology
http://cjs.sagepub.com/
Published by:
http://www.sagepublications.com
On behalf of:
Additional services and information for Canadian Journal of School Psychology can be found at:
Email Alerts: http://cjs.sagepub.com/cgi/alerts
Subscriptions: http://cjs.sagepub.com/subscriptions
Reprints: http://www.sagepub.com/journalsReprints.nav
Permissions: http://www.sagepub.com/journalsPermissions.nav
Citations: http://cjs.sagepub.com/content/25/4/328.refs.html
Downloaded from cjs.sagepub.com by Widiastuti Pajarini on April 29, 2012
The Assessment
of School Psychologists
in Practice Through
Multisource Feedback
Abstract
In this article we provide an overview of the nature and scope of multisource feedback
(MSF) and provide empirical evidence of its reliability, validity, and feasibility in one of the
health professions. The overall internal consistency reliability (Cronbach alpha) of MSF
instruments is generally greater than .96 for self and informants such as patients, coworker,
and colleague surveys. Generalizability coefficients for the assessors across persons are
approximately 0.80. There is also substantial evidence of content, criterion-related and
some evidence of construct validity of the MSF instruments applied in the health professions.
Based on these findings, we recommend the development and use of a MSF system for
practicing school psychologists, present information about how MSF instruments can be
constructed, and provide examples of what these instruments could look like.
Rsum
Cet article vous offre un aperu de la nature et de la porte des multisource feedback
(MSF) et vous fournit des preuves empiriques de sa fiabilit, de sa validit et la faisabilit
dans une des professions de la sant. La fiabilit de la cohrence interne globale
(Cronbach alpha) des outils de MSF est gnralement plus grande que, 96 pour des
sondages effectus sur soi-mme, sur des individus tels que des patients, des collgues
de travail ou collaborateurs. Les coefficients de gnralisibilit pour les valuateurs
travers les personnes sont denviron 0,80. Il y a aussi des preuves substantielles du
contenu, les critres lis et certains lments de preuve de la validit des outils
MSF appliqus dans les professions de la sant. Sur la base de ces rsultats, nous
recommandons llaboration et lutilisation dun systme de MSF pour la pratique de la
psychologie en milieu scolaire; prsenter des informations sur la faon dont les outils
MSF peuvent tre dvelopps et fournir des exemples de ce que ces outils peuvent tre.
1
Corresponding Author:
Jac J. W. Andrews, Division of Applied Psychology, University of Calgary,
500 University Drive N. W., Calgary, AB T2N1N4, Canada
Email: jandrews@ucalgary.ca
Downloaded from cjs.sagepub.com by Widiastuti Pajarini on April 29, 2012
329
Keywords
multisource feedback, school psychologist assessment, 360-degree evaluation,
professional development
Introduction
Although it has been recommended that multisources of information (360-degree feedback) be utilized in the assessment of client outcomes from therapy (Cone, 2001) and
that 360-degree feedback be applied to psychology training (Falender & Shafranske,
2004), a multisource feedback (MSF) system has yet to be adopted as a systematic way
to assess the practice of psychologists in Canada. MSF systems have been widely used
both in the health professions and industry for assessing professionals (Lockyer &
Clyman, 2008). The major purpose of the present article is to describe the nature and
scope of MSF instruments that have been developed and utilized by some of the health
professions in Canada and to exemplify some empirical information with respect to the
use of these instruments in one of the health professions. A secondary purpose of this
article is to recommend the development and use of an MSF for practicing school
psychologists, present information about how MSF instruments can be constructed,
and provide examples of what these instruments could look like.
330
331
Moreover, the occupational therapists found it was easy to participate in the system
and recruit the required number of informants (coworkers and clients). In summary,
the results demonstrated that the developed instruments and procedures had high reliability, validity, and feasibility.
332
Sanders, Craven, & King, 2000; Violato et al., 2008a, as viable applications of MSF
with other health professionals).
333
well as experts in the development and use of MSF systems. The roles and responsibilities of the advisory group would include (a) recruiting members for the advisory group
who could provide further content expertise for the instruments, (b) identifying roles
and competencies as integral to the professional practice of school psychologists,
(c) participating in the development of the instruments, (d) providing information to
school psychologists in the province(s) regarding the development and use of the
instruments, and (e) overseeing the distribution and return of instruments from participating school psychologists involved in the trial and follow-up use of the instruments.
Creating Items
Each member of the advisory group would be responsible (under the guidance of
experts in the construction of MSF systems) to create items that reflect the core competencies of school psychologists. After members are given time to create items, they
would be reviewed, modified, and/or replaced. Decisions regarding the final content
of each item are typically arrived at by using a consensus procedure. Once all of the
items are developed for the instruments and judged satisfactory by the advisory
group, it is necessary to design the format of the instruments and pilot them.
334
standard scores to be created and used to interpret and compare the performance of a
persons scores from the instruments. From this information, reports can be created to
provide feedback to school psychologists regarding their performance according to their
self-assessment and in relation to others judgment of their performance.
Conclusion
By using the expertise of a broad range of psychological association members, and
regulatory groups, the profession of school psychology can develop a broadly applicable MSF system that can meet the current assessment standards of reliability, validity,
and feasibility. This system could be developed relative to the functioning of school
psychologists in their numerous roles. The profession of school psychology has an obligation to ensure the public that its members are competent and be able to offer evidence
of this competence through proper assessment procedures. We suggest that this can be
done by the development and use of MSF instruments that involves a self-assessment
and an assessment from others (e.g., colleagues, coworkers, clients). Finally, although
our examples of instruments can be informally used/modified by school psychologists
to aid in their self-evaluations or be used/modified by supervisors of school psychology
students in training, we believe that MSF would be much better utilized as a systematic
and standardized procedure in the assessment of school psychologists in practice.
Appendix A
Psychologists Assessment of Performance
Self-Assessment Questionnaire
Name _____________________
How to Answer:
Beside each question there is a row of numbers ranging from (1) to (6)
(continued)
Downloaded from cjs.sagepub.com by Widiastuti Pajarini on April 29, 2012
335
Appendix A (continued)
Make your response by circling the number that is closest to the way you want to
respond
Compared to other psychologists you know, rate your performance for each
statement
1. Among the worst
2. Bottom half
3. Average
4. Top half
5. Among the best
6. Unable to assess
Example:
I communicate effectively with clients.
If you rate your performance among the worst, circle
1
Bottom half
Average
Top half
Unable to
assess
Answer all questions by circling one of the numbers in the right hand
column referring to the response code at the bottom of the page
1. I communicate effectively with clients
2. I communicate effectively with clients families
3. I communicate effectively with other health care professionals
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
(continued)
336
Appendix A (continued)
4. Within the range of services provided by me, I perform technical
procedures skilfully
5. Within the range of services provided by me, I demonstrate
appropriate judgment
6. I select psychoeducational tests appropriately
7. I critically assess diagnostic information
8. I make the correct diagnosis in a timely fashion
9. I select the appropriate recommendations
10. I maintain quality psychological records
11. I obtain informed consent for my services
12. I inform clients of the limits of confidentiality
13. I report any circumstances that affect the reliability, validity, or
interpretation of assessment results
14. I limit my practice to areas of competence in which proficiency
has been gained through education and training
15. I refer clients in an appropriate manner
16. I provide clear understanding about who is responsible for
continuing care of the client
17. I communicate referral information to clients
18. I recognize biological aspects of psychological disorder
19. I make appropriate use of community resources for biological
aspects of care
20. I manage clients with complex psycho-educational problems
21. I coordinate care effectively for clients with other health
professionals
22. I show compassion for clients and their families
23. I respect the rights of clients
24. I collaborate with other psychologists
25. I am involved with professional development
26. I accept responsibility for my professional action
27. I manage psychological care resources efficiently
28. I manage personal stress
29. I am aware of my own shortcomings
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
1
1
2
2
3
3
4
4
5
5
6
6
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
1
1
2
2
3
3
4
4
5
5
6
6
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
Appendix B
Psychologists Assessment of Performance
Psychologist Colleague Questionnaire
Assessed psychologists Name_______________________
Your name _____________________
(continued)
337
Appendix B (continued)
How would you describe your professional relationship to the psychologist (select one)?
1. Peer (similar practice)
2. Consultant
3. Referring psychologist
How well do you know this psychologist (mark one)?
1. Not at all
2. Not well
3. Somewhat
4. Well
5. Very well
Interpretation of the Rating Scale
Rate your colleague on the performance statements according to the following
guidelines and scale
How to Answer:
Beside each question there is a row of numbers ranging from (1) to (6)
Make your response by circling the number that is closest to the way you want to
respond
Compared to other psychologists I know, this one is:
1. Among the worst
2. Bottom half
3. Average
4. Top half
5. Among the best
6. Unable to assess
Example:
Communicates effectively with clients.
If you rate the psychologists performance among the worst, circle
1
6
(continued)
338
Appendix B (continued)
Answer all questions by circling one of the numbers in the right hand
column referring to the response code at the bottom of the page
If you rate the psychologists performance in the Top half, circle
1
Bottom half
Average
Top half
Unable to assess
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
6
6
6
6
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
1
1
2
2
3
3
4
4
5
5
6
6
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
(continued)
339
Appendix B (continued)
20. Manages clients with complex psychoeducational problems
21. Coordinates care effectively for clients with other health
professionals
22. Shows compassion for clients and their families
23. Respects the rights of clients
24. Collaborates with other psychologists
25. Is involved with professional development
26. Accepts responsibility for his or her professional action
27. Manages psychological care resources efficiently
28. Manages personal stress
29. Is aware of his or her own shortcomings
1
1
2
2
3
3
4
4
5
5
6
6
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
Appendix C
Psychologists Assessment of Performance
Family Questionnaire
Sex
Male
Female
340
Appendix C (continued)
Answer questions about this psychologist according to the following guidelines and
scale
How to answer:
Beside each question there is a row of numbers ranging from (1) to (6)
Make your response by circling the number that is closest to the way you want to
respond
1. Strongly disagree
2. Disagree
3. Neutral
4. Agree
5. Strongly agree
6. Not applicable (NA)
Example:
The psychologist explained your childs problems to you thoroughly
If you strongly disagree with this statement, circle
Answer all questions by circling one of the numbers in the right hand
column referring to the response code at the bottom of the page
1
RESPONSE CODE
1
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
6
Not applicable
(NA)
(continued)
Downloaded from cjs.sagepub.com by Widiastuti Pajarini on April 29, 2012
341
Appendix C (continued)
Based on the MOST RECENT VISIT with the Psychologist
1. The psychologist explained your childs problems to you thoroughly
2. The psychologist adequately explained your childs treatment
choices
3. The psychologist adequately explained how treatment was going to
be monitored
Based on ALL OF YOUR VISITS with this psychologist, how do you
feel about the psychologists attitude and behaviour toward you?
This psychologist:
4. Spends enough time with me
5. Shows interest in my childs problems
6. Answers my questions well
7. Treats me with respect
8. Talks to me about my childs needs
9. Selects appropriate recommendations
10. Informs me about the limits of confidentiality
11. Obtains informed consent for services
12. Informs me of his or her qualifications
13. Explains all test results on my child well
14. Demonstrates good knowledge and skill
15. Arranges appointments with specialists when necessary
General
16. The psychologist follows up with me about my child
17. I would go back to this psychologist
18. I would send a friend to this psychologist
1
1
2
2
3
3
4
4
5
5
6
6
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
6
6
6
6
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
RESPONSE CODE
1
Among the worst
Bottom half
Average
Top half
6
Unable to
assess
Appendix D
Psychologists Assessment of Performance
Coworker Questionnaire
Assessed psychologists Name________________________
(continued)
Downloaded from cjs.sagepub.com by Widiastuti Pajarini on April 29, 2012
342
Appendix D (continued)
Your name _____________________
Interpretation of the rating scale
Rate this psychologist on the following performance statements according to the following guidelines and scale.
This form is used by a variety of psychologists coworkers (e.g., teachers, educational
specialists, therapists)
How well do you know this psychologist (mark one)?
1. Not at all
2. Not well
3. Somewhat
4. Well
5. Very well
How to answer:
Beside each question there is a row of numbers ranging from (1) to (6)
Make your response by circling the number that is closest to the way you want to
respond
Compared to psychologists I know, this one is:
1. Among the worst
2. Bottom half
3. Average
4. Top half
5. Among the best
6. Unable to assess
Example:
Communicates effectively with clients.
If you rate the psychologists performance among the worst, circle
1
6
(continued)
343
Appendix D (continued)
If you rate the psychologists performance in the Top half, circle
Answer all questions by circling one of the numbers in the right hand
column referring to the response code at the bottom of the page
1
RESPONSE CODE
1
Among the worst
Bottom half
Average
Top half
Unable to
assess
1
1
1
1
1
1
1
2
2
2
2
2
2
2
3
3
3
3
3
3
3
4
4
4
4
4
4
4
5
5
5
5
5
5
5
6
6
6
6
6
6
6
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
6
Funding
The author(s) received no financial support for the research and/or authorship of this
article.
344
References
Accreditation Council for Graduate Medical Education Outcome Project. (2004). Accreditation Council for Graduate Medical Education web site. Retrieved November 2, 2004, from
http://www.acgme.org/Outcome/
Archer, J., Norcini, J., & Davies, H. A. (2005). Peer review of paediatricians in training using
SPRAT, British Medical Journal, 330, 1251-1253.
Atkins, P. W. B., & Wood, R. E. (2002). Self- versus others ratings as predictors of assessment
center ratings: Validation evidence for 360-degree feedback programs. Personnel Psychology, 55, 871-904.
Bracken, D. W., Timmreck, C. W., & Church, A. H. (Eds.). (2001). The handbook of multisource
feedback: The comprehensive resource for designing and implementing MFS processes. San
Franscisco: Jossey-Bass.
Bill 25, Health Professions (Regulatory Reform) Amendment Act 2008, 4th Session, 38th
Parliament of the Legislative Assembly, British Columbia, Third Reading (2008, May 27).
Church, A. H. (1997). Do you see what I see? An exploration of congruence in ratings from
multiple perspectives. Journal of Applied Social Psychology, 27, 983-1020.
Cone, J. J. (2001). Evaluating outcomes: Empirical tools for effective practice. Washington,
DC: American Psychological Association.
Connors G. P., & Munro, T. W. (2001). 360-degree physician evaluations. Healthcare Executive, 27(5), 58-59.
Falender, C. A., & Shafranske, E. P. (2004). 360-degree Assessment applied to psychology in
training. Manuscript in preparation.
Fantuzzo, J. W., Sisemore, T. A., & Spradlin, W. H. (1983). A competency-based model for
teaching skills in the administration of intelligence tests. Professional Psychology: Research
and Practice, 14, 224-231.
Fidler, H., Lockyer, J., Toews, J., & Violato, C. (1999). Changing physicians practices: The
effect of individual feedback. Academic Medicine, 74, 702-714.
Fletcher, C., & Bailey, C. (2003). Assessing self-awareness: Some issues and methods. Journal
of Managerial Psychology, 18, 395-404.
Griffin, E., Sanders, G., Craven, D., & King, J. (2000). A computerized 360 feedback tool for personal and organizational development in general practice. Health Informatics Journal, 6, 71-80.
Hall, W., Violato, C., Lewkonia, R., Lockyer, J., Fidler, H., & Toews, J. (1999). Assessment of
Physician performance in Alberta: The physician achievement review project. Canadian
Medical Association Journal, 161, 52-57.
Health Professions Act 2009, Alberta Legislature, Alberta Queens Printer.
Kaslow, N. J., Rubin, N. J., Forrest, L., Elman, N. S., Van Horne, B. A., Jacobs, S. C., et al.
(2007). Recognizing, assessing, and intervening with problems of professional competence.
Professional Psychology: Research and Practice, 38, 479-492.
Kaslow, N. J. (2004). Competencies in professional psychology. American Psychologist, 59,
774-781.
Levine, A. M. (2002). Medical professionalism in the new millennium: A physician charter.
Annals of Internal Medicine, 136, 243-246
345
Lockyer, J., Violato, C., Fidler, H., & Alakija, P. (2009). The assessment of pathologists/Laboratory medicine physicians through a multisource feedback tool. Archives of Pathology and
Laboratory Medicine, 133, 1301-1308.
Lockyer, J., & Clyman, G. S. (2008). Multisource feedback (360-degree Assessment). In E.S.
Holmboe, & R. E. Hawkins (Eds.), Practical guide to the Assessment of clinical competence
(pp 75-85). Philadelphia: Mosby.
Lockyer, J., Violato, C., & Fidler, H. (2008). Assessment of radiology physicians by regulatory
Authority. Radiology, 247, 771-778.
Lockyer, J., Violato, C., & Fidler, H. (2003). Likelihood of change: A study assessing surgeon
use of multi-source feedback data. Teaching, Learning, and Medicine, 15, 168-174.
Lockyer, J., & Violato, C. (2004). An examination of the appropriateness of using a common
peer Assessment instrument to assess physician skills across specialties. Academic Medicine, 79, 5-8.
Maurer, T. J., Mitchell, D. R. D., & Barbeite, F. G. (2002). Predictors of attitudes toward a
360-degree feedback system and involvement in post-feedback management development
activity. Journal of Occupational and Organizational Psychology, 75, 87-107.
Norcini, J. J. (2003). Peer assessment of competence. Medical Education, 37, 539-543.
Rodolfa, E. E. (Ed.). (2005). Competency education-competent professionals-ethical practice
[Special Issue]. Professional Psychology: Research and Practice, 36, 347-375.
Rodolfa, E. R., Bent, R. J., Eisman, E., Nelson, P. D., & Ritchie, P. (2005). A cube model for
Competency development: Implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36, 347-354.
Ramsey, P. G., Wenrich, M. D., Carline, J. D., Inui, T. S., Larson, E., & Logerfo, J. P. (1993).
Use of peer ratings to evaluate physician performance. Journal of American Medical Association, 269, 1655-1660.
Roberts, M., Borden, K., Christiansen, M., & Lopez, S. (2005). Fostering a culture shift: Assessment of competence in the education and careers of professional psychologists. Professional
Psychology: Research and Practice, 36, 355-361.
Sala, F., & Dwight, S. A. (2002). Predicting executive performance with multirater surveys:
Whom you ask makes a difference. Consulting Psychology Journal: Practice and Research,
54, 166-172.
Shaw, B. F., & Dobson, K. S. (1988). Competency judgments in the training and Assessment of
psychotherapists. Journal of Consulting and Clinical Psychology, 56, 666-672.
Societal Needs Working Group Report. (1996). Skills for the New Millennium: CanMEDS
2000 Project. Annals of Royal College of Physicians and Surgeons of Canada, 29, 206-221
Stern, D. T. (Ed.). (2006). Measuring medical professionalism. Oxford, UK: Oxford University
Press.
Violato, C., Worsfold, L., & Polgar, J. M. (2009). Multisource feedback systems for quality
improvement in the health professions: Assessing occupational therapists in practice. Journal of Continuing Education in the Health Professions, 29(2), 111-118.
Violato, C., Lockyer, J., & Fidler, H. (2003). Multisource feedback: A method of assessing surgical practice. British Medical Journal, 326, 546-548.
346
Violato, C., Lockyer, J., & Fidler, H. (2008a). Assessment of psychiatrists with multisource
feedback. Canadian Journal of Psychiatry, 53, 525-533
Violato, C., Lockyer, J., & Fidler, H. (2008b). Changes in performance: A 5-year longitudinal
study of participants in a multi-source feedback program. Medical Education, 42, 1007-1013.
Violato, C., Marini, A., Toews, J., Lockyer, J., & Fidler, H. (1997). Feasibility and psychometric
properties of using peers, consulting physicians, co-workers, and patients to assess physicians. Academic Medicine, 72, 82-84.
Bios
Jac J. W. Andrews is a professor in the Division of Applied Psychology at the University of
Calgary. His current research interests are in the areas of childhood psychopathology, psychological assessment, and clinical supervision. He has published many scientific articles in journals
such as Adolescence, Journal of Psychoeducational Assessment, British Journal of Educational
Psychology, and Canadian Journal of Counselling.
Claudio Violato is a professor in the Faculty of Medicine at the University of Calgary. A research
focus is the development and validation of performance measures for health professionals. He
has published many scientific and technical articles and reports in journals such as the Canadian
Journal of Surgery, Educational and Psychological Measurement, Academic Medicine, Medical
Education, Canadian Journal of Psychiatry, and British Medical Journal and Pediatrics.